| NPI | 1366765414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 22507) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 050825) |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2010-03-03 |